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MINED l 7 RECL4MATION DIVISION ~` 23251 <br /> I__~ Sherman, Rm. 215 <br /> ~~ q <br />Denver. Colorado 8003 - DATE <br />t 9~ <br />7-L <br /> _ <br />- <br />(303) 866-3567 <br />"" <br /> FROM / <br />~ ` ~ ~ Y R..l <br /> <br /> DOLLARS <br /> <br /> ^ CASH <br /> FOR - ~ A.C1iECK <br />^ M <br />O <br /> . <br />. <br /> AMOUM OF A OUN7 ...... ...$ <br /> Q 1G u ! <br /> AMOUNT PAID ...... <br /> BALANCE OUE ........ ..........$ BY <br /> <br />